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Confess your faults one to another, and pray one for another, that ye may be healed. The effectual fervent prayer of a righteous man availeth much.
Elias was a man subject to like passions as we are, and he prayed earnestly that it might not rain: and it rained not on the earth by the space of three years and six months.

New Defender's Study Bible Notes

5:16 Confess your faults. “Faults” is a different word than “sins” in James 5:15, which primarily refers to “offenses” or “trespasses.” It is used either for offenses against God or against fellow men. The latter are evidently meant here, for the admonition here is to confess such offenses to the individual person or persons we have offended. Once the offenses are confessed, then it is fitting to pray for whatever healing is needed.

5:16 fervent. “Effectual fervent” is one word in the Greek (energeo), meaning “energizing.” The one praying such an energizing prayer (therefore, healing prayer) is assumed to be “righteous,” both in standing before God through faith in Christ, and in practice before God, having left no sins of his own unconfessed and made right.

5:17 on the earth. This remarkable answer to Elijah’s prayer was a providential miracle, rather than a miracle of creation. No laws of hydrology or meteorology need to be superseded in order to produce or withhold rain, but rather a providential ordering and timing of the many factors that control rainfall. While creation miracles are extremely rare today, providential miracles often occur in answer to prayer, when we meet God’s conditions.

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